KIMS Hospitals Kondapur on Friday successfully treated a rare and highly complex case of chronic jaundice that was deemed inoperable even at leading international centres. Sharing the details, Dr. Ravula Phani Krishna, Senior Consultant Surgical Gastroenterologist and Liver–Pancreas Specialist mentioned that the patient had exhausted all possible treatment options  before approaching KIMS as a last resort.

The patient, a 30-year-old software professional from Hyderabad, was diagnosed eight years ago with a rare, slow-growing pancreatic neuroendocrine tumour. Over time, the tumour compressed the bile duct, leading to persistent obstructive jaundice. The case was further complicated as the tumour encased the portal vein, the main blood vessel supplying blood to the intestines. 

For nearly seven years, the patient depended on metallic biliary stenting to temporarily relieve jaundice.  

After detailed evaluation, Dr. Phani Krishna and his multidisciplinary team devised a two-stage surgical strategy. Initially, the patient underwent Percutaneous Transhepatic Biliary Drainage (PTBD) to temporarily control jaundice and stabilise his condition. In the first stage, the team performed an extremely complex shunt surgery, diverting intestinal blood flow to a renal vein. 

In the second stage, a marathon surgery lasting nearly 10 hours was performed to permanently relieve both the bile duct and intestinal obstructions. 

The patient made an uneventful recovery with no post-operative complications. Within six months, he resumed his IT job and has since been leading a normal life, completely free from jaundice after eight long years.

“This case demonstrates how complex conditions considered untreatable can be successfully managed in India with advanced planning, multidisciplinary expertise, and perseverance,” Dr. Phani Krishna stated.